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Orthodontic intrusive movement to reduce infrabony defects in periodontal pacients

Abstract

The adult tends to be an excellent orthodontic patient, because he/she is motivated and cooperative. Nevertheless, many adult patientspresent periodontal problems. Intrusive movement is usually necessary against an area with infrabony defects, and in order for treatmentto be successful, it is necessary for all related aspects to be well understood. The aim of this study was to discuss the feasibility and efficacy of orthodontic intrusion as a means of reducing infrabony defects caused by periodontal disease. The methodology used was reviewed in the literature, from which articles were selected using the MEDLINE, LILACS and BBO databases. After periodontal treatment and maintenance with suitable bacterial plaque control has been performed, orthodontic treatment with intrusive tooth movement can be performed in case of pathological tooth migration and extrusion. The segmented arch technique is the most indicated for intruding teeth with infrabony defects because it is capable of developing light and continuous forces. Furthermore, although studies did not confirm, they suggested that orthodontic intrusion could lead to the formation of new periodontal support tissue. With a multidisciplinary approach, it is possible to successfully perform intrusion movements in teeth that present infrabony defects, provided that periodontal inflammation has been treated and the patient presents an excellent level of plaque control. Among the benefits of this approach are: better appearance, better access to dental hygiene, restitution of incisal occlusion and reduction in non axial load

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